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COLONIAL KIDNEYCARE SPECIALISTS PC NPI 1528451671


NPI Information

NPI: 1528451671
Provider Name: COLONIAL KIDNEYCARE SPECIALISTS, PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 49D2236380

Address:
3601 BOULEVARD
SUITE C
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 504-0068
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COLONIAL KIDNEYCARE SPECIALISTS, PC is a nephrology internal medicine in Colonial Heights, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. COLONIAL KIDNEYCARE SPECIALISTS, PC NPI is 1528451671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3601 BOULEVARD
SUITE C
COLONIAL HEIGHTS, VA
ZIP 23834-338
Phone: (804) 504-0068
Fax: (804) 504-0080

The provider's authorized official is Satish K Bankuru .
The authorized official title is President and has the following contact phone number (804) 504-0068.

The CLIA number assigned to this NPI record is 49D2236380 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2015 and was last updated on 3/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology0101236668VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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